Organization
BLIND AND LOW VISION REHABILITATION SERVICES & CONSULTING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC EUGENE HICKS MS OTRL (PRESIDENT)
(352) 246-9578
Entity
Organization
Contact information
Practice address
2625 SW 75TH ST, 1301, GAINESVILLE, FL 32607-6636
(352) 246-9578
Mailing address
2625 SW 75TH ST, 1301, GAINESVILLE, FL 32607-6636
(352) 246-9578
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT11044
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8908044
—
FL
Enumeration date
02/15/2007
Last updated
08/22/2020
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